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P r-7 111VED
<br />ECENED - ' 9 2t111
<br />, •0 9 zoii ENv RSIAN !JOAQUIN COUNTY
<br />- ENVIR isl g 1 titH DEPARTMENT
<br />IRONMENTAL HEAL1600 East Main Streetr Slockton, CA 95202-3029
<br />PERMIT/SO*7)gram: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orgfehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: a-
<br /> - i",Lc, t,... Date:7- ? — 2,1/,
<br />Address: e7 -' _ -' •,,,.•-•.; ‘;', t .. City _ -..' 1 4., Zip Code: :-.' - 2.,,/
<br />.• ,,v i: ,
<br />OwnerfOperator .r.;) t-T- •. : ,-,..,.. Telephone: '1
<br />Program Element ''.-r 1(17-1 1 Program Record: '36;4 h 51 i /7,-- 2 7/ , ., el , .," Inspection Type:
<br />Flow late (gpm) :-. C.' .F).1 :„ii ..i.,:"-14- -
<br />Cplorine (ppm) 4 I . ,.• ,,,,,,, ,f '.;''''','" - , , "•- '-
<br />Cy, antoric Acid (ppm):
<br />; gr,,,e :::$•••Pft,
<br />Temp: a . .,
<br />
<br />, 4 •
<br />Reinsciection on or after
<br />',./7.. 8? r-e: -", 14%.• r , " p.-_. cc. 4, .,„ , „..., 1,7,7_,. z„,,, ,i,..):4,1 Other. ••./ , t!
<br />it.-_, ._'`lrat..,-.kM614-4111)1Attl'iM The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />111 Filters
<br />M Pumps , f.,--
<br />4 .... 4'•;'..., ,,e'r- j‘,_.-"*-.7 •*-- - '
<br />
<br />ig. , I -;-7,,,,, ,.5- .,...-i..fr _ ,1.- ..,e-Int,„7 ) ,. 7 s ,..--• ,...4.2 2 r Chlorinator
<br />II Flowrneter .....,, co : . v ,.. ,-;1_,0,..7 E Gauges _
<br />'-'...-,:,- - \-.....,,, ,.... '''''' --'-',. .---- - '--7.-, ,---.:1 ,-,,-At:t ',._.,c4:!3;t:77- - 0 Skimmer & Gutters
<br />II Back Flow Prevention A . , r ei;
<br />,:::X..Ze•-,.. -7,14'..,;,-- , 4--41 M Main Drain Cover if/ 47 II Equalizer Line Cover
<br />altWCA_.krl..I.§rrgWTDXERW
<br />0 Pool Shell
<br />0 Fencing/Gates
<br />0 Decidng & Coping
<br />Wade Pool -2 Main Drains
<br />E44.' .M.A.LOY4MTEMARIM;,.7
<br />Rescue Pole
<br />Life Ring ci (1-1/tr.,1/0(11d 51/S i/ti, II Safety Signs
<br />II Lifeguard
<br />\
<br />4 i 4
<br />L al r • Pool/Deck Lighting
<br />M Ladders/Hand Rails
<br />II Depth MarkersMles
<br />11 First Aid Kits
<br />1 0 Emergency Shut-off Switch
<br />,liffiNgrall:01164 6= ; 0 Showers
<br />111 Toilet & Dressing
<br />III Ventilation
<br />W ILTig& ilIMSNI _.*1.-e-
<br />11 Chlorine
<br />pH
<br />0 Cyan uric Acid
<br />Clarity
<br />M Test Kits
<br />Supervision & Control - -) .22(1
<br />..;_..0.P...f. ---- ' 7 ,'",; c.). „.5 -,° c/ / 0 General Sanitation
<br />D Algae
<br />Influent
<br />? i <7
<br />eq--
<br />Effluent: (.1 -
<br />1
<br />...7
<br />ar
<br />- ' 4. -.
<br />-. Fpceived By:
<br />ii:!.1.... ,..-..----
<br />Insp.eCted by: .. .. li. - j
<br />Time °lit ,i 8i0 'Ci -,:-7....'.:',
<br />) t A ',1 .";) - i ? •
<br />1 \.......i,-,`,,t1-' ', la ii."` t,,— •lif
<br />fr--
<br />3, 13- -1.4: .4.,. ,,/.•".'-(1-1-..':1-T-
<br />69998L1760Z
<br /> eovues iood uppeds
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